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2010, Volume 26, Number 3, Page(s) 200-208
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DOI: 10.5146/tjpath.2010.01025 |
Differences in the Cytological Features of Atypical Adenomatous Hyperplasia and Low-Grade Prostatic Adenocarcinoma |
Ahmet MİDİ1, Tülay TECİMER2, Süheyla BOZKURT2, Naziye ÖZKAN2 |
1Department of Pathology, Maltepe University, Faculty of Medicine, İSTANBUL, TURKEY 2Department of Pathology, Marmara University, Faculty of Medicine, İSTANBUL, TURKEY |
Keywords:
Prostate, Hyperplasia, Adenocarcinoma |
Objective: The aim of this study was to review the histological features
and to define parameters distinguishing atypical adenomatous
hyperplasia from prostatic adenocarcinoma grade 1 and 2. We
evaluated 14 parameters related with cytological properties.
Material and Method: We found 11 atypical adenomatous hyperplasia
(22 foci) and 15 prostatic adenocarcinoma grade 1 and 2 (22 foci)
lesions in 105 radical prostatectomy specimens. Basal cell-specific
keratin (34βE12) was applied and based on the fact that prostatic
adenocarcinoma grade 1 and 2 lesions do not have basal cells we
grouped the lesions as atypical adenomatous hyperplasia and prostatic
adenocarcinoma grade 1 and 2.
Results: Statistically significant differences were found between
atypical adenomatous hyperplasia and prostatic adenocarcinoma
grade 1 and 2 lesions for some parameters including the largest nuclear
diameter, nuclear location, 1-2 μm nucleolus, > 2 μm nucleolus, and
nuclei containing multiple nucleoli. We found similar properties
between the two lesions for the following parameters: irregularity
of nuclear membrane, median diameter of the nucleolus, chromatin
pattern, pynotic nucleus, nuclear pleomorphism, < 1 μm nucleolus
nucleolar margination, and the ratio of nucleus to cytoplasm and the
appearance of cytoplasm in the secretory cells.
Conclusion: Evaluation of the overall histomorphological criteria is
important in the differentiation of atypical adenomatous hyperplasia
and prostatic adenocarcinoma grade 1 and 2 lesions.
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